dream'n BSN, RN

UR/PA, Hematology/Oncology, Med Surg, Psych

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All Content by dream'n

  1. dream'n

    Changing specialties. Is it possible?

    I'd try to give it a good 1-2 years in NICU and then maybe try for a Pediatric ER position at a large Children's hospital. I would think your NICU experience would be very helpful for you securing a...
  2. dream'n

    Advice?

    Hey a job is a job, unless you dislike Pediatrics (raises hand ). If offered the position, bone up on the vaccination schedule and pediatric injection sites. And prepare yourself for lots of...
  3. dream'n

    Trying To Replace A Lost Pin For My Wife

    If you've checked everywhere including Ebay, can you have another made as a secret surprise. See if you can find a picture of her wearing it and check with a jeweler. I know it wouldn't be quite the...
  4. dream'n

    What advice would you give your 19 year old self?

    I would go back for a do-over, but only if my kids would still be my kids. 19 year old self: Start focusing and stay in school, but change your major to Psychology. Plan on going straight through...
  5. dream'n

    Monitoring & PCA Use

    We use PCAs rather infrequently on my unit. When we do use them, the patients are on a continuous pulse oximeter, but we don't monitor ETCO2
  6. dream'n

    What does an order of "Q2D" mean to you?

    Never have I seen QAD? I like my c and s with above line, and OD, OU, OS. Love the a and p with a line above. I just love nursing jargon in general for some reason! Guess I'm a little wacky. Oh...
  7. dream'n

    How do you deal with Munchhausen-type pts?

    I respectively disagree. I would never treat a patient differently or appear to not believe them, but psychological issues are certainly our business in acute care. Appropriate documentation and...
  8. dream'n

    Why don't you just read the chart?

    I will first say that the PTB tick me off. Administration wants everything done now, now, now and sometimes good transition of care takes a little time. I hate how we have to rush so as not to get...
  9. dream'n

    When celebs stop by to say hi

    I'm going to have to talk with public relations about this! No one but sick people ever come to see
  10. Experience helped me gain confidence in nursing. Things like making the right nursing decisions and knowing that my knowledge is valuable. Also, when I hit about 40, somehow other's opinions stopped...
  11. dream'n

    Are ER Patients Getting More Ridiculous?

    Great advice, that will personally put to use.
  12. dream'n

    Let go for no reason-Feeling discouraged :(

    Look at it as a learning experience. You will never know why they let you go; maybe someones relative needs a job, maybe some Dr got in a tizzy about something unimportant, maybe they hated your...
  13. dream'n

    Help with Major CNA Problems

    I wish I could write them up, but my hospital says that I do not have the authority to. So I complain and complain to the supervisors, with specific examples and documentation, but they don't do a...
  14. Just a note to say that CNAs in MY hospital work under their CNA certification, but I as the RN am ultimately held responsible for what is delegated to them and whether it is completed correctly. Also...
  15. I think I would be waiting for the BON to open in the morning by sitting on their front step. And I would get a lawyer to fight this ASAP. You say you are clean and always have been, then fight this...
  16. dream'n

    "I'm not floating."

    I hate floating also and it should be an issue of safety that the ANA handles nationally, but they are too busy writing theories or something to do anything useful like that. Anyway, I honestly think...
  17. dream'n

    Question about IVPB

    Depends on where the Antibiotic is attached and if it is on it's own pump. If you want your primary fluid to infuse with the antibiotic at the same time, you place each on it's own pump and Y in your...
  18. dream'n

    Help with Major CNA Problems

    That's all fine and dandy. Heard a CNA at work tell one of the nurses that she "is a great nurse because she always helps the CNAs." I wanted to point out that that nurse is always in trouble...
  19. dream'n

    New Nurse on Paxil

    Paxil saved me, I am utterly useless and cannot get out of bed without it after about 4 days off. I've been on it for years. Tried multiple times to taper off or switch to another AD and always...
  20. dream'n

    Are care plans valuable?

    On my acute unit, care plans are useless and a huge waste of
  21. dream'n

    Patients wants a back rub

    I was taught a long time ago. I still unfortunately have to remind myself sometimes to glove when I obviously should, 'cause I can tend to jump right in to whatever after gelling up. I am a work in...
  22. dream'n

    Patients wants a back rub

    Wish my hospital offered this as a service to the patients. Bet it makes good sense business wise too, help bring up the almighty press-gainey
  23. dream'n

    Patients wants a back rub

    I also was taught in nursing school way back when that massage was part of HS care. But I find myself way too busy to do this on a regular basis. I'll lotion and rub the back of my bed bound...
  24. What do you mean a"strike nursing company?" Like crossing the picket lines, being a scab